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DacuSlcgn Envelope ID: B53B80EF-A8DI-496:1-A612-643CIF53A,4BD
WHEREAS, HCA and Contractor previously entered into a Contract for Community Prevention and Wellness
Initiative (CPWI) Services,, and;
W,H,EREAS, HCA and Contractor wish to amend the Contract pursuant to Section 17, Amendment, to update
contract language;
NOW THEREFORE, the parties agree the Contract is amended as follows:
1. Section I, Definitions, Dedicated 1i Mar"uana Account" or "DIVIA" is updated to reflect the chan - e change in
name to "Dedicated Cannabis Account". All references to Dedicated Marijuana Account or DMA are
hereby changed to Dedicated Cannabis Account or DCA, respectively.
2. Section 8, Compensation and Billing, Subsection 8.2, Rei bursemei
, ts, s replaced as follows to clarify
m n
45 -day. invoicing requirements and standardize across all C1PWl Contracts
8. Reimbursements.
HCA shall reimburse the Contractor only for actual incurred and allowable costs for the services 'Identified
in this Contract and in accordance with the: Substance Use Disorder Prevention and Mental Health
Promotion Services Billing Guide. found at httt)s://www.hea.wa..gov/assets/program/fl`iscal-g,rogram-
reauirements-s,ud.pdf.
The Contractor shall not bill and HCA shall not pay for services performed under this contract, if the
contractor has charged or will charge another agency of the state of Washington or any other party for
the same services.
Reimbursement requests will not be approved for payment until the Contractor is current with all reporting
requirements contained in this Contract.
HCA shall not make any payments in advance or anticipation of the delivery of services to be provided
pursuant to this Contract.
HCA Contract No. K5536-2 Page 1 of 2
HCA Contract No.: K5536
washington State
CONTRACT
Amendment No.: 2,
Health Care AUu<tthh0or71tV'
ity'
AMENDMENT
THIS AMENDMENT TO THE CONTRACT is between the Washington State Health Care Authority and the party
whose name appears below, and is effective as of the date set forth below.
CONTRACTOR NAME
CONTRACTOR doing business as (DBA)
Grant County
CONTRACTOR, ADDRESS
CONTRACTOR CONTRACT MANAGER
840 E Plum St
Name: Dell Anderson
Moses Lake, WA 98837-1874
Email,, daanderson@grant.countywa.go v
AMENDMENT START DATE
CONTRACT END DATE
September 30, 2022
June 30, 2023
Prior Maximum Contract Amount
Amount of Increase
Total Maximum Compensation
$2561000.0
.$0
$2561000.00
WHEREAS, HCA and Contractor previously entered into a Contract for Community Prevention and Wellness
Initiative (CPWI) Services,, and;
W,H,EREAS, HCA and Contractor wish to amend the Contract pursuant to Section 17, Amendment, to update
contract language;
NOW THEREFORE, the parties agree the Contract is amended as follows:
1. Section I, Definitions, Dedicated 1i Mar"uana Account" or "DIVIA" is updated to reflect the chan - e change in
name to "Dedicated Cannabis Account". All references to Dedicated Marijuana Account or DMA are
hereby changed to Dedicated Cannabis Account or DCA, respectively.
2. Section 8, Compensation and Billing, Subsection 8.2, Rei bursemei
, ts, s replaced as follows to clarify
m n
45 -day. invoicing requirements and standardize across all C1PWl Contracts
8. Reimbursements.
HCA shall reimburse the Contractor only for actual incurred and allowable costs for the services 'Identified
in this Contract and in accordance with the: Substance Use Disorder Prevention and Mental Health
Promotion Services Billing Guide. found at httt)s://www.hea.wa..gov/assets/program/fl`iscal-g,rogram-
reauirements-s,ud.pdf.
The Contractor shall not bill and HCA shall not pay for services performed under this contract, if the
contractor has charged or will charge another agency of the state of Washington or any other party for
the same services.
Reimbursement requests will not be approved for payment until the Contractor is current with all reporting
requirements contained in this Contract.
HCA shall not make any payments in advance or anticipation of the delivery of services to be provided
pursuant to this Contract.
HCA Contract No. K5536-2 Page 1 of 2
DocuSign Envelope ID: 853B80EF-A8DI-4961-A612-643CIF53A4BD
All work under this Contract must end on or before the funding source(s) end date(s) and the final
reimbursement request must be submitted to HCA within forty-five (45) calendar days after the funding
source(s) end date(s). If the Contract is Identified as funded by a federal and/or state grant(s), Contractor
must submit all invoices within forty-five (45) calendar days of the end of the grant(s) fiscal year.
Upon expiration, suspension, or termination of the Contract, any claims for payment for costs due and
payable under this Contract that are incurred prior to the expiration, suspension, or termination date must
be submitted by the Contractor to HCA within forty-five (45) calendar days.
The Contractor must submit 'Invoices for costs due and payable under this contract within forty-five (45)
days of the date services were provided or within forty-five ('45) calendar days after the Contract
expiration date or funding source(s) end date, whichever comes first.
HCA is under no s after the obligation to pay any claims that are submitted forty-six (46) or more days y
funding source(s), end, date ("'Belated Claims"). HCA will pay Belated Claims at its sole discretion, and any
such potential payment is contingent upon the availability of funds.
Any supplemental billings must be received within thirty (30) days of the billing due date to be considered
for payment. No supplemental billings will be accepted after forty-five (45) days, of a funding source end
date.
Payment shall be considered timely if made by HCA within thirty (30) business days after receipt and
acceptance by HCA of the properly completed 'Invoices. Payments shall be sent to the address
designated by the Contractor on page one (1) of this Contract. HCA may, at its sole discretion,, withhold
s
payment claimed by the Contractor for services rendered if Contractor fails to satisfactorily comply with
any term or condition, of this Contract.
3. Section 22, Billing Limitations is replaced as follows:
HCA shall pay the Contractor only for authorized services provided in accordance with this Contract.
HCA within the special terms and conditions of this contract may reduce length of time following the
provision of services in which the contractor may submit claims for payment.
4. This Amendment ratifies the earlier agreement between the parties, the terms and conditions of which
are contained herein. Accordingly,, upon signature of the parties, this Amendment's effective date will be
September 30, 2022 ("Effective Date"), regardless of the date of execution.
5. All capitalized terms not otherwise defined herein have the meaning ascribed to them in the Contract, .
6. All other terms and conditions of the Contract remain unchanged and in full force and effect.
The parties signing below warrant that they have read and understand this Amendment and have authority to
execute the Amendment. This Amendment will be binding on HCA only upon signature by both parties.
CONTRACTOR SIGNATURE
PRINTED NAME AND TITLE
DATE SIGNED
Chair
Rob Jones,
HCA SIGNATURE
DocuSigned by;
PRINTED NAME AND TITLE
lRachelle
DATE SIGNED
'4.." .4-"CAAA.4-wo
Amerine
1/6/2023
I LE I I Frfrnsuf 14PY
I Contracts Administrator
HCA Contract No. K5536-2 Page 2 of 2